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New York rates for HCPCS 81212

BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants

Facilitymedian $741 · 10th–90th $302$1,2300%10%20%10th90th$741Professionalmedian $347 · 10th–90th $115$7410%10%10th90th$347$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $776.25 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $354.81 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $660.69
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $436.52 / $436.52
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $933.25 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $524.81 / $2,137.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $436.52 / $1,000.00
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $371.54 / $831.76
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $416.87 / $512.86
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $831.76 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $436.52 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $263.03 / $891.25
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $177.83 / $467.74
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $416.87 / $870.96